Referral & Authorization Specialist - Patient Access

Florida Orthopaedic Institute; Florida; On-site; USD 32,000 - 45,000; Full time

Job summary

Florida Orthopaedic Institute in Saint Petersburg, FL is seeking an Authorization Representative to efficiently obtain and document referrals and authorizations for physician services. This on-site, full-time role collaborates with physician offices, insurers, and patients to ensure timely authorizations for scheduled visits.

The position requires a high school diploma and 2+ years in a medical setting, with strong customer service and multitasking abilities to manage high call volumes and

Qualifications

• Candidate must be a high school graduate.
• 2+ years of experience in a medical environment.
• Excellent customer service and communication skills.
• Able to multi-task and handle high call volumes.

Responsibilities

• Coordinate with appropriate primary care physicians and/or insurance companies to obtain referrals for office visits prior to the patient’s scheduled appointment.
• Ensure all authorizations are properly documented in the system.
• Advise patients of any potential problems concerning obtaining authorization prior to the scheduled appointment.
• Coordinate with the Billing/Collections department to research and obtain authorizations on previously denied claims.
• Coordinate with the Benefit Verification Rep to confirm benefits when problems occur.
• Utilize insurance websites (Availity, Humana Military (Tricare), United Healthcare, etc.) to obtain referrals/authorizations
• All other duties as assigned

Skills

Customer service

Communication skills

Multitasking

Education

High school diploma

Job description

Florida Orthopaedic Institute in Saint Petersburg, FL is seeking an Authorization Representative to efficiently obtain and document referrals and authorizations for physician services. This on-site, full-time role collaborates with physician offices, insurers, and patients to ensure timely authorizations for scheduled visits.

The position requires a high school diploma and 2+ years in a medical setting, with strong customer service and multitasking abilities to manage high call volumes and